CONFISCATED ITEMS CONFISCATED ITEMS

Name: _____________________________ Name: _____________________________Grade/Section: _____________________________ Grade/Section: _____________________________Teacher: _____________________________ Teacher: _____________________________Date: _____________________________ Date: _____________________________Item(s): Item(s):

Cellphone Drugs/narcotics CellphoneGadgets Deadly weapon(s) GadgetsPorn materials Others (specify) Porn materials

___________________

_________________________________________________ _________________________________________________Authorized Signature Authorized Signature

CONFISCATED ITEMS CONFISCATED ITEMS

Name: _____________________________ Name: _____________________________Grade/Section: _____________________________ Grade/Section: _____________________________Teacher: _____________________________ Teacher: _____________________________Date: _____________________________ Date: _____________________________Item(s): Item(s):

Cellphone Drugs/narcotics CellphoneGadgets Deadly weapon(s) GadgetsPorn materials Others (specify) Porn materials

___________________

_________________________________________________ _________________________________________________Authorized Signature Authorized Signature

CONFISCATED ITEMS CONFISCATED ITEMS

Name: _____________________________ Name: _____________________________Grade/Section: _____________________________ Grade/Section: _____________________________Teacher: _____________________________ Teacher: _____________________________Date: _____________________________ Date: _____________________________Item(s): Item(s):

Cellphone Drugs/narcotics CellphoneGadgets Deadly weapon(s) GadgetsPorn materials Others (specify) Porn materials

___________________

_________________________________________________ _________________________________________________Authorized Signature Authorized Signature

CONFISCATED ITEMS

____________________________________________________________________________________________________________________

Drugs/narcotics Deadly weapon(s) Others (specify)___________________

_________________________________________________Authorized Signature

CONFISCATED ITEMS

____________________________________________________________________________________________________________________

Drugs/narcotics Deadly weapon(s) Others (specify)___________________

_________________________________________________Authorized Signature

CONFISCATED ITEMS

____________________________________________________________________________________________________________________

Drugs/narcotics Deadly weapon(s) Others (specify)___________________

_________________________________________________Authorized Signature